Lung Assessment with Point-of-Care Ultrasound in Respiratory Coronavirus Disease (COVID-19): A Prospective Cohort Study.
COVID-19
Coronavirus disease
Interstitial syndrome
Lung ultrasound
Pleura ultrasound
Pneumonia
Point of care ultrasound
SARS-CoV-2
Journal
Ultrasound in medicine & biology
ISSN: 1879-291X
Titre abrégé: Ultrasound Med Biol
Pays: England
ID NLM: 0410553
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
24
09
2020
revised:
16
12
2020
accepted:
17
12
2020
pubmed:
26
1
2021
medline:
12
3
2021
entrez:
25
1
2021
Statut:
ppublish
Résumé
Lung ultrasound (LUS) has shown promising diagnostic potential in different pulmonary conditions. We evaluated the diagnostic accuracy of LUS for pulmonary COVID-19. In this prospective cohort study at a Swiss tertiary care center, patients hospitalized with suspected COVID-19 were scanned using a 12-zone protocol. Association of a summation score (0-36 points) with the final diagnosis was tested using the area under the receiver operating characteristic curve and sensitivity and specificity at different cutoff points. Of the 49 participants, 11 (22%) were later diagnosed with COVID-19. LUS score showed excellent diagnostic performance, with an odds ratio of 1.30 per point (95% confidence interval [CI], 1.09-1.54, p = 0.003) and an area under the curve of 0.85 (95% CI, 0.71-0.99). At a cutoff of 8/36 points, 10 of 11 participants later diagnosed with COVID-19 were correctly predicted (sensitivity 91%, 95% CI, 59%-100%), and 29 of the 38 who were not diagnosed with COVID-19 were correctly ruled out (specificity 76%, 95% CI, 60%-89%). LUS demonstrated promising discriminatory potential in people hospitalized with suspected COVID-19.
Identifiants
pubmed: 33487473
pii: S0301-5629(20)30576-7
doi: 10.1016/j.ultrasmedbio.2020.12.021
pmc: PMC7834656
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
896-901Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.
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